Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MINCI SEKOU MOODY DR.
NPI 1083378343
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Q: What is Minci Moody's NPI number?

The NPI number for Minci Moody is 1083378343. It was assigned to this individual provider in the NPPES registry on October 23, 2021. The provider is also known as Minci Sekou Stenson.

Q: What is Minci Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Minci Moody was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2021

4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200(323) 432-4877 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jul 16, 2024, Aug 3, 2022 and 1 more (4 updates tracked since 2021).

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About Minci Sekou Moody Dr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINCI SEKOU MOODY DR. (NPI 1083378343) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95020547) and active in the NPI registry since October 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083378343

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMINCI SEKOU MOODYCredential: DR.

Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629

Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200 · Fax (323) 432-4877

Phone(323) 908-4200

Fax(323) 432-4877

Sole ProprietorYes

Enumeration DateOctober 23, 2021

Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1083378343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95020547

Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License 713445 (CA)

4425 S CENTRAL AVE, Los Angeles, CA 90011

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Other Names 1

Former Name (1)Minci Sekou Stenson

Secondary Practice Locations 2

Location 128455 Elon CtSanta Clarita, CA 91350-3283 · Phone (661) 476-4557

Location 28484 Wilshire Blvd Ste 200Beverly Hills, CA 90211-3235 · Phone (310) 360-7690

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH DEVINE MSN FNP

Nurse Practitioner (Family)